Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | | | No |
| 2 | 172A00000X | Driver | | | | No |
| 3 | 251B00000X | Case Management | | | | No |
| 4 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 5 | 251E00000X | Home Health | | | | No |
| 6 | 311ZA0620X | Custodial Care Facility | Adult Care Home | | | No |
| 7 | 343900000X | Non-emergency Medical Transport (VAN) | | | | No |
| 8 | 372500000X | Chore Provider | | | | No |
| 9 | 372600000X | Adult Companion | | | | No |
| 10 | 374U00000X | Home Health Aide | | | | No |
| 11 | 253Z00000X | In Home Supportive Care | | | | Yes |
| 12 | 174200000X | Meals | | | | No |
| 13 | 171M00000X | Case Manager/Care Coordinator | | | | No |
| 14 | 251X00000X | Supports Brokerage | | | | No |
| 15 | 175T00000X | Peer Specialist | | | | No |